Hemopurification in sepsis: current view

Česká verze

Authors: R. Sýkora; J. Chvojka; A. Kroužecký; J. Raděj; T. Karvunidis; I. Novák; M. Matějovič
Authors place of work: Jednotka intenzivní péče I. interní kliniky Lékařské fakulty UK a FN Plzeň, přednosta doc. MUDr. Martin Matějovič, Ph. D.
Published in the journal: Vnitř Lék 2008; 54(10): 1000-1005
Category: Přehledné referáty

Summary

Sepsis is the leading cause of mortality in non‑coronary intensive care units. The uncontrolled and deregulated systemic inflammatory response to infection plays a central role in the pathophysiology of sepsis. This response is mediated by a broad spectrum of endogenous mediators leading to dysfunction in multiple organs remote from the primary infectious site. The failure of numerous clinical trials aimed at eliminating a single mediator stimulated the research to focus on non‑selective removal of excessively produced mediators of sepsis. This “detoxification” forms the theoretical basis and biological rationale for the use of hemopurification therapies as an adjunctive treatment of sepsis. Our article reviews the current evidence of hemopurification methods in the supportive treatment of sepsis, briefly discusses new trends and summarizes the recommendations for clinical practice.

Key words:
sepsis – septic shock – hemofiltration – high volume hemofiltration – hemopurification methods

Zdroje

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